Adolescent patients' perceptions of the seclusion experience: A phenomenological study

2.50
Hdl Handle:
http://hdl.handle.net/10755/152840
Type:
Presentation
Title:
Adolescent patients' perceptions of the seclusion experience: A phenomenological study
Abstract:
Adolescent patients' perceptions of the seclusion experience: A phenomenological study
Conference Sponsor:Sigma Theta Tau International
Conference Year:1992
Conference Date:August 6 - 8, 1992
Author:Johnson, Celeste, MSN/MN/MNSc/MNE
P.I. Institution Name:Children's Medical Center of Dallas
Title:Director of Nursing Psychiatry
Seclusion, the physical and social isolation of a patient, is a

controversial treatment method used to manage violent behavior.

Very few researchers have interpreted the patient's meaning of

seclusion and none have explored adolescents' perceptions.



Using symbolic interactionism and the phenomenological method, this

researcher explored the phenomenon of seclusion as a situation

defined by the perceptions of the adolescent patient after a

specific episode of seclusion, paying close attention to the

context in each seclusion event. An exploratory research design

was used. Participant observation, using unstructured interviews

with patients in the ethnographic scene, provided data consisting

of verbal reports.



Subjects were seven male and three female adolescents, all white

except for one black male, ages 12 to 16, who had been secluded

during this admission to the acute adolescent psychiatric unit of

an 1100 bed private hospital in a large metroplex of North Central

Texas. Multiple interviews were held with patients who were

secluded more than once. Fifteen interviews were conducted.



All interviews were initially tape-recorded, then transcribed by

the researcher into typed manuscripts after each interview. Data

collection and analysis took place simultaneously, beginning with

the initial interviews with subjects. The categories of patient

responses were derived from interviews directly following the

seclusion experiences and included: patients' conscious definitions

of the seclusion experience, of feelings, of unfavorable aspects of

seclusion and patients' proposed remedies, interpretations of

staff's rules and expectations, their own rules for use of

seclusion, and reinterpretations of their life situations and

subsequent growth following seclusion.



A grounded theory, describing the meaning of seclusion as perceived

by adolescent psychiatric patients and as derived from the findings

can be stated briefly: The seclusion experience has value as long

as therapeutic nurse-patient interaction occurs before, during, and

after the use of seclusion. Nurses' use of seclusion in this study

was flawed related to problems of communication. Related to

findings, the researcher recommends that nurses expand

communication with patients about the nature and purpose of each

episode of seclusion.



Repository Posting Date:
26-Oct-2011
Date of Publication:
6-Aug-1992
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAdolescent patients' perceptions of the seclusion experience: A phenomenological studyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152840-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Adolescent patients' perceptions of the seclusion experience: A phenomenological study</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1992</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">August 6 - 8, 1992</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Johnson, Celeste, MSN/MN/MNSc/MNE</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Children's Medical Center of Dallas</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Director of Nursing Psychiatry</td></tr><tr><td colspan="2" class="item-abstract">Seclusion, the physical and social isolation of a patient, is a<br/><br/>controversial treatment method used to manage violent behavior.<br/><br/>Very few researchers have interpreted the patient's meaning of<br/><br/>seclusion and none have explored adolescents' perceptions.<br/><br/><br/><br/>Using symbolic interactionism and the phenomenological method, this<br/><br/>researcher explored the phenomenon of seclusion as a situation<br/><br/>defined by the perceptions of the adolescent patient after a<br/><br/>specific episode of seclusion, paying close attention to the<br/><br/>context in each seclusion event. An exploratory research design<br/><br/>was used. Participant observation, using unstructured interviews<br/><br/>with patients in the ethnographic scene, provided data consisting<br/><br/>of verbal reports.<br/><br/><br/><br/>Subjects were seven male and three female adolescents, all white<br/><br/>except for one black male, ages 12 to 16, who had been secluded<br/><br/>during this admission to the acute adolescent psychiatric unit of<br/><br/>an 1100 bed private hospital in a large metroplex of North Central<br/><br/>Texas. Multiple interviews were held with patients who were<br/><br/>secluded more than once. Fifteen interviews were conducted.<br/><br/><br/><br/>All interviews were initially tape-recorded, then transcribed by<br/><br/>the researcher into typed manuscripts after each interview. Data<br/><br/>collection and analysis took place simultaneously, beginning with<br/><br/>the initial interviews with subjects. The categories of patient<br/><br/>responses were derived from interviews directly following the<br/><br/>seclusion experiences and included: patients' conscious definitions<br/><br/>of the seclusion experience, of feelings, of unfavorable aspects of<br/><br/>seclusion and patients' proposed remedies, interpretations of<br/><br/>staff's rules and expectations, their own rules for use of<br/><br/>seclusion, and reinterpretations of their life situations and<br/><br/>subsequent growth following seclusion.<br/><br/><br/><br/>A grounded theory, describing the meaning of seclusion as perceived<br/><br/>by adolescent psychiatric patients and as derived from the findings<br/><br/>can be stated briefly: The seclusion experience has value as long<br/><br/>as therapeutic nurse-patient interaction occurs before, during, and<br/><br/>after the use of seclusion. Nurses' use of seclusion in this study<br/><br/>was flawed related to problems of communication. Related to<br/><br/>findings, the researcher recommends that nurses expand<br/><br/>communication with patients about the nature and purpose of each<br/><br/>episode of seclusion.<br/><br/><br/><br/></td></tr></table>en_GB
dc.date.available2011-10-26T11:51:57Z-
dc.date.issued1992-08-06en_GB
dc.date.accessioned2011-10-26T11:51:57Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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